Provider Demographics
NPI:1447391826
Name:MERWIN, ANNE B (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:B
Last Name:MERWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 ALEDO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-7144
Mailing Address - Country:US
Mailing Address - Phone:305-443-6212
Mailing Address - Fax:
Practice Address - Street 1:420 ALEDO AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-7144
Practice Address - Country:US
Practice Address - Phone:305-443-6212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28926207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL059279000Medicaid
FL54042Medicare ID - Type Unspecified
FL059279000Medicaid